PATRIOT DENTAL, LLC (NPI# 1134599640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134599640 |
| Entity Type | Organization |
| Organization Name | PATRIOT DENTAL, LLC |
| Practice Address |
16 Main St Gray ME 04039-9407 |
| Practice Telephone | 2076575440 |
| Mailing Telephone | 2076575440 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Authorized Official Name | DR. BRIAN DAVID BOYNTON (PRESIDENT) |
| Authorized Official Telephone | 2078310004 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
ME | Dental Providers |
| Street Address |
16 MAIN ST |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396824421 | James D Pound | Dentist | 16 Main St, Gray, ME 04039-1298 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1134543515 | Compassionate Mobile Dentists of Georgia | Dentist | 3907 Upper River Rd, Gray, GA 31032-3821 | 2014-02-06 |
| 1770876781 | Gray Dental Associates, P.C. | Dentist | 242 West Clinton St, Gray, GA 31032 | 2011-05-24 |
| 1205909199 | Alan Murise Stevens | Dentist | 480 Suncrest Dr, Gray, TN 37615-3462 | 2006-11-16 |
| 1033120381 | Gray Dental Associates | Dentist | 242 W Clinton St, Gray, GA 31032-5430 | 2006-08-11 |
| 1376573634 | Robert William Beebe | Dentist | 31 Portland Rd., Gray, ME 04039-0850 | 2006-07-03 |
| 1174596001 | Richard Anthony Turner | Dentist | 100 Chapel St, Gray, TN 37615-3050 | 2006-02-10 |
| 1043704828 | Kristen Green | Dentist | 242 W Clinton St, Gray, GA 31032-5430 | 2018-06-15 |
| 1598969560 | Gray Station Dental Pllc | Dentist | 100 Chapel St, Gray, TN 37615-3050 | 2007-06-13 |
| 1558562751 | James D Pound Dds Pa | Dentist | 16 Main Street, Gray, ME 04039 | 2007-05-29 |
| Find all providers in GRAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.